Practice Question
A nurse is monitoring a client who has ADHD. The client is demonstrating disruptive behavior due to overstimulation from being in a group setting. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Escort the client to a quiet room.
Rationale:
🟩 Clients with ADHD can become overstimulated in busy group environments, leading to disruptive behaviors because their attention and sensory-processing thresholds become overwhelmed.
🟩 Removing the client to a quiet, low-stimulation space helps reduce sensory input and allows the nervous system to settle.
🟩 This strategy is considered a least-restrictive intervention, which is required before considering any restrictive measure.
🟩 Providing a calm environment promotes emotional regulation and reduces impulsivity, which directly addresses the cause of the client’s distress.
🟩 This approach also supports therapeutic rapport and maintains client safety.
❌ Incorrect Options
Administer an SSRI medication.
🟥 SSRIs treat anxiety and depression, not acute overstimulation in ADHD.
🟥 Medication is not first-line for behavior triggered by the environment.
Ask the client to express how they feel to the group.
🟥 This increases social demand and stimulation, worsening symptoms.
🟥 ADHD overstimulation requires less, not more, input.
Initiate physical restraints.
🟥 This is highly restrictive and inappropriate for overstimulation.
🟥 Must be used only for immediate danger, not situational disruption.
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This question is from Custom Psych NUR2520 Mental Health Mid Term October 2025 which contains 85 questions.
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From Exam
Custom Psych NUR2520 Mental Health Mid Term October 2025
85 Questions
View Full Exam Start PracticingQuestion Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Mental Health
- Answer Choices: 4